11-57712798-C-G

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 4P and 5B. PM1PM5BS1_SupportingBS2

The ENST00000278422.9(TMX2):ā€‹c.180C>Gā€‹(p.Asp60Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00117 in 1,614,072 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D60N) has been classified as Pathogenic.

Frequency

Genomes: š‘“ 0.00086 ( 0 hom., cov: 33)
Exomes š‘“: 0.0012 ( 2 hom. )

Consequence

TMX2
ENST00000278422.9 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:3

Conservation

PhyloP100: 1.87
Variant links:
Genes affected
TMX2 (HGNC:30739): (thioredoxin related transmembrane protein 2) This gene encodes a member of the disulfide isomerase (PDI) family of endoplasmic reticulum (ER) proteins that catalyze protein folding and thiol-disulfide interchange reactions. The encoded protein has an N-terminal ER-signal sequence, a catalytically active thioredoxin domain, one transmembrane domain and a C-terminal ER-retention sequence. This protein is enriched on the mitochondria-associated-membrane of the ER via palmitoylation of two of its cytosolically exposed cysteines. [provided by RefSeq, Jan 2017]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -1 ACMG points.

PM1
In a topological_domain Extracellular (size 53) in uniprot entity TMX2_HUMAN there are 9 pathogenic changes around while only 0 benign (100%) in ENST00000278422.9
PM5
Other missense variant is known to change same aminoacid residue: Variant chr11-57712796-G-A is described in Lovd as [Pathogenic].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00086 (131/152360) while in subpopulation NFE AF= 0.00159 (108/68038). AF 95% confidence interval is 0.00134. There are 0 homozygotes in gnomad4. There are 60 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
TMX2NM_015959.4 linkuse as main transcriptc.180C>G p.Asp60Glu missense_variant 1/8 ENST00000278422.9 NP_057043.1 Q9Y320-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
TMX2ENST00000278422.9 linkuse as main transcriptc.180C>G p.Asp60Glu missense_variant 1/81 NM_015959.4 ENSP00000278422.4 Q9Y320-1
ENSG00000288534ENST00000674060.1 linkuse as main transcriptn.33C>G non_coding_transcript_exon_variant 1/20 ENSP00000501055.2 A0A669KB09

Frequencies

GnomAD3 genomes
AF:
0.000854
AC:
130
AN:
152242
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000965
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.000576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00103
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.00159
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00108
AC:
270
AN:
250628
Hom.:
1
AF XY:
0.00104
AC XY:
141
AN XY:
135558
show subpopulations
Gnomad AFR exome
AF:
0.000247
Gnomad AMR exome
AF:
0.000810
Gnomad ASJ exome
AF:
0.000398
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000131
Gnomad FIN exome
AF:
0.00120
Gnomad NFE exome
AF:
0.00168
Gnomad OTH exome
AF:
0.00229
GnomAD4 exome
AF:
0.00120
AC:
1753
AN:
1461712
Hom.:
2
Cov.:
31
AF XY:
0.00119
AC XY:
864
AN XY:
727144
show subpopulations
Gnomad4 AFR exome
AF:
0.000239
Gnomad4 AMR exome
AF:
0.000850
Gnomad4 ASJ exome
AF:
0.000498
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.000128
Gnomad4 FIN exome
AF:
0.00141
Gnomad4 NFE exome
AF:
0.00137
Gnomad4 OTH exome
AF:
0.00104
GnomAD4 genome
AF:
0.000860
AC:
131
AN:
152360
Hom.:
0
Cov.:
33
AF XY:
0.000805
AC XY:
60
AN XY:
74516
show subpopulations
Gnomad4 AFR
AF:
0.0000962
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.000576
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00103
Gnomad4 NFE
AF:
0.00159
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000646
Hom.:
0
Bravo
AF:
0.000790
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00259
AC:
10
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00268
AC:
23
ExAC
AF:
0.00122
AC:
148
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00147
EpiControl
AF:
0.00249

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:3
Uncertain significance, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Uncertain significance, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Uncertain significance, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.27
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.38
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Benign
0.0092
.;T
Eigen
Benign
0.055
Eigen_PC
Benign
0.18
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Uncertain
0.88
D;D
M_CAP
Benign
0.031
D
MetaRNN
Benign
0.018
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.63
N;N
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
0.28
N;N
REVEL
Benign
0.050
Sift
Benign
0.66
T;T
Sift4G
Benign
1.0
T;T
Polyphen
0.99
D;B
Vest4
0.47
MutPred
0.32
Loss of loop (P = 0.1242);Loss of loop (P = 0.1242);
MVP
0.60
MPC
0.27
ClinPred
0.21
T
GERP RS
5.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.24
gMVP
0.66

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.92
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.92
Position offset: -5

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs143908831; hg19: chr11-57480270; API